What could be the reason for intermittent shoulder pain?

Question

Hi doctor,

I have intermittent shoulder pain, mostly in the areas where neck and shoulder meets and in the rotator cuff. This is for the last one year. I had neck pain, which subsided after some physiotherapy and still I have the shoulder pain issue. Earlier, I consulted a general physician and a physiotherapist, but not visited for a while. I had a suspicion that my shoulder pain was significant and started bothering after I played volleyball briefly in last summer. I am wondering whether I should visit an orthopedic surgeon and need an MRI.

Answer 1

Hi,

Welcome to icliniq.com.

This shoulder pain, which is resistant, is called trapezitis. It is an inflammation of the muscle fascia of the trapezius. General painkillers do not act on this, so you need to take specific medicines. I suggest the following medications. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

Oxalgin gel (Diclofenac) for local application twice daily.
Tablet Neugaba-M 75 mg (combination of Pregabalin and Methylcobalamin) one tablet daily before food at night for 15 days.
Tablet Etoricoxib 60 mg one tablet in the morning and one at night after food for seven days.
Tablet Pan-D (Pantoprazole) one in the morning and one at night before food for seven days.
Tablet Vitamin D 60 k units once a week for eight weeks.

Your pain should reduce in three to four days. Follow up after a week with me if pain persists.